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PMHNPs — sometimes the most therapeutic word you can say is no. As psychiatric nurse practitioners, we walk a fine line between empathy and scope of practice. Not every patient is our patient. Not every request is appropriate. And not every form should be signed. Protecting your license is not being difficult — it’s practicing ethical psychiatry. If you didn’t evaluate the patient, you cannot validate the documentation. Period. Setting boundaries builds trust. It protects the therapeutic relatio
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